This learning activity examines transformational leadership principles applied to nursing quality improvement, focusing on how nurse leaders drive measurable patient care improvements through evidence-based strategies. The content covers three key quality trends - patient-centered metrics including HCAHPS, real-time EHR analytics with bias monitoring, and context-specific workforce indicators - while providing practical frameworks for applying the Institute for Healthcare Improvement's Model and PDSA cycles. Learners will understand how to analyze EHR data to identify quality gaps, implement transformational leadership behaviors including psychological safety and individualized consideration, and engage frontline staff in creating cultures of continuous improvement that enhance patient outcomes and nurse satisfaction.